Indiana
Professional Licensing Agency
Blanca I. Zepeda
Radiology Provisional Permit
License number
XP504440
Date granted
12/27/2012
Date expires
06/27/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46406
indianalicensing.org
ID 8491202
LAST UPDATED 2024-04-04 22:13:41 UTC
LAST UPDATED 2024-04-04 22:13:41 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.